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[Intraoperative explosive choroidal hemorrhage (report of four cases)]
1Zhongshan Ophthalmic Center, Sun Yat-Sen University of Medical Sciences, Guangzhou, China.
Insights
Intraoperative explosive choroidal hemorrhage (ECH) is a severe complication during eye surgery. Prompt management includes dehydration, wound closure, pressure, and possibly eye removal if bleeding persists.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Intraoperative explosive choroidal hemorrhage (ECH) is a rare but serious complication during intraocular surgery.
- Understanding ECH is crucial for managing severe intraocular bleeding events.
Observation:
- This report details four cases of ECH occurring during intraocular surgical procedures.
- The cases highlight the sudden and severe nature of this surgical complication.
Findings:
- Immediate management involves intravenous dehydration therapy.
- Suturing the incision, direct ocular pressure, and postscleral incision are key interventions.
- Persistent bleeding necessitates enucleation as a final resort.
Implications:
- Effective management strategies can mitigate the severity of ECH.
- Prompt surgical intervention and appropriate medical treatment are vital for patient outcomes.
- Enucleation remains an option for uncontrollable intraocular hemorrhage.
Abstract:
Intraoperative explosive choroidal hemorrhage (ECH) is a rare, but severe complication of intraocular surgery. This complication often occurs during or after intraocular surgery. We report four cases that developed this complication during surgery. Once the complication occurs, we should use the dehydration medicine intravenously, suture the incision, application of pressure directly to the eye and incise the postsclera. If the bleeding can't be stopped, enucleation is the indication.